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Individual

DR. IAN JORDAN COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10848 70TH RD, APT 7E, FOREST HILLS, NY 11375-3937
(215) 990-2141
Mailing address
10848 70TH RD, APT 7E, FOREST HILLS, NY 11375-3937
(215) 990-2141

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018091
NY

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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